Individual provider · Type 1 NPI

Laresa Mae Coles

Student in an Organized Health Care Education/Training Program · Bountiful, UT

NPI number 1407521032 Active

Practice location

415 Medical Dr Ste D101
Bountiful, UT 84010-8905

Call (801) 683-1062 Map

Mailing address

474 West 200 North Ste 300
St. George, UT 84770

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1407521032

Laresa Mae Coles's National Provider Identifier is 1407521032, issued on Aug 16, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bountiful, UT. The record was last updated on Jul 29, 2025.